| NPI | 1265620116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG MICHAEL HARRIS President Pa 561-488-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO 0001441) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2008-03-10 |